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Research ArticleHead and Neck Imaging

Spontaneous Retropharyngeal Hematoma: Diagnosis by MR Imaging

Alberto Muñoz, Nancy J. Fischbein, Joaquin de Vergas, Jose Crespo and Jose Alvarez-Vincent
American Journal of Neuroradiology June 2001, 22 (6) 1209-1211;
Alberto Muñoz
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Nancy J. Fischbein
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Joaquin de Vergas
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Jose Crespo
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Jose Alvarez-Vincent
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    fig 1.

    Retropharyngeal hematoma.

    A, Enhanced CT scan through the supraglottis shows a well-defined, low-attenuation, midline collection (“C”) that separates the posterior pharyngeal wall from the prevertebral muscles, consistent with a retropharyngeal location. No peripheral enhancement is seen. Small nonspecific left jugulodigastric nodes are present.

    B and C, Sagittal T1-weighted (B) spin-echo 500/18/2 (TR/TE/excitations) and T2-weighted (C) fast spin-echo (5000/100) images show a hyperintense retropharyngeal collection that extends from the nasopharynx to the laryngopharynx (arrowheads and “C”). The airway is mildly compromised.

    D, Sagittal T2-weighted fast spoiled gradient-echo image 35/6/30 (TR/TE/α°) shows the retropharyngeal collection (“C”) that exhibits an outer hyperintense layer and a hypointense central core. Notice upper nasopharyngeal respiratory artifacts.

    E, Axial fast inversion recovery T2-weighted 5000/136/150 (TR/Teffec/TI), at the level of the floor of the mouth, shows a high-intensity, well-defined, retropharyngeal collection (“C”).

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American Journal of Neuroradiology: 22 (6)
American Journal of Neuroradiology
Vol. 22, Issue 6
1 Jun 2001
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Cite this article
Alberto Muñoz, Nancy J. Fischbein, Joaquin de Vergas, Jose Crespo, Jose Alvarez-Vincent
Spontaneous Retropharyngeal Hematoma: Diagnosis by MR Imaging
American Journal of Neuroradiology Jun 2001, 22 (6) 1209-1211;

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Spontaneous Retropharyngeal Hematoma: Diagnosis by MR Imaging
Alberto Muñoz, Nancy J. Fischbein, Joaquin de Vergas, Jose Crespo, Jose Alvarez-Vincent
American Journal of Neuroradiology Jun 2001, 22 (6) 1209-1211;
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